AMBULATORY CARE NURSING CERTIFICATION MAIN EXAM
SCRIPT COMPLETE QUESTIONS AND ANSWERS
For successful communication, the major criteria would include?
A - Forcefulness
B - Flexibility
C - Evaluation
D - Developmental - ✔✔B - Flexibility
The 4 major criteria for successful communication would include: Feedback,
Appropriateness, Efficiency, Flexibility
✔✔A person's knowledge is sometimes measured by which of the following verbs?
A -Recall
B - List
C - Remember
D - All of the above - ✔✔D - all of the above
Some of the verbs which might be used to measure a person's knowledge could
include: Recall, List, Remember, Identify, State, Define
✔✔A key value in association with "Baby Boomers" would be considered which of the
following?
A - Sacrifice
B - Duty
C -Respect for authority
D - Involvement - ✔✔D - Involvement
There are 3 key values that are associated with "Baby Boomers:" Involvement, Personal
growth, Team
✔✔You are assessing a patient prior to surgery and want to check for her surgical risk
due to alcohol consumption. That patient tells you that her alcohol use varies and she
does not seem willing to discuss how much she drinks. Which of the following is an
appropriate strategy for getting the information you need?
A -Present the patient with graphic images of the internal organs of people who abuse
alcohol.
B -Shame the patient into telling you what you need to know.
C - Refer the patient to a social worker at the hospital.
D - Ask a family member, such as the patient's spouse, about the patient's alcohol use.
- ✔✔D - Ask a family member, such as the patient's spouse, about the patient's alcohol
use.
✔✔Which of the following is NOT a concern when developing health literacy education
for patients?
A - Literacy level.
B - Cultural background.
C - Language.
,D - Gender - ✔✔D - Gender
✔✔When learning in the affective domain, it would involve internalization or
commitment to which of the following?
A - Feelings
B - Interests
C - Cognitive
D - Both A and B - ✔✔D - Both A and B
When a person is learning in the affective domain, it would involve internalization or
commitment to: Feelings, Interests, Attitudes, Beliefs, Values
✔✔Of the following, which would be considered the name for when it would reflect the
chemical structure of a drug?
A - Generic name
B - Common name
C - Trade name
D - Chemical name - ✔✔D - Chemical name
✔✔An older patient presents with swelling in the lower extremities. Which of the
following should be ordered to rule out heart failure?
A - CBC
B - Spirometry study
C - Brain natriuretic peptide test
D - Ketone balances - ✔✔C - Brain natriuretic peptide test (BNP)
The BNP measures levels of protein made by your heart will be higher than normal
since it is produced by your blood vessels in your heart.
✔✔Nurse Grace knows that the most effective way to educate her patient and assist in
her patient care plan is to do what?
A - Insist the patient follow the plan exactly as instructed.
B - Create a schedule for the patient of future office visits and scheduled treatments.
C - Establish a team effort with the patient in the teaching and learning process.
D - Ask the patient to involve family members in her care planning. - ✔✔C - Establish a
team effort with the patient in the teaching and learning process.
✔✔Of the following, which would not be considered an objective symptom for
tuberculosis?
A - Headaches
B - Night sweats
C - Weight loss
D - Fever - ✔✔A - Headaches
Some of the objective symptoms for tuberculosis would be: Night sweats, Weight loss,
Fever, Cough which progresses, Hemoptysis (cough up blood)
✔✔An order is being written for insulin, how should the dosage order be written?
,A - 10 ml subq
B - 10 units subq
C - 10 u subq
D - None of the above - ✔✔B - 10 units subq
U for unit is on The Joint Commission's official " Do Not Use" list of abbreviations.
✔✔Which of the following is NOT a "red flag" of low health literacy in a patient?
A - The patient pours pills into his or her hand to identify them by sight.
B - The patient is not Caucasian.
C - The patient consistently asks you to read healthcare information because he or she
has forgotten eyeglasses at home.
D - The patient does not ask questions during the appointment. - ✔✔B - The patient is
not Caucasian.
It is important to note that you cannot assess a person's health literacy just by looking.
In fact, the majority of people with low health literacy, according to a recent study, are
middle class Caucasians.
✔✔POCT and which of the following terms are often used interchangeably?
A - Diagnosing
B - Referrals
C - Consultations
D - Onsite testing - ✔✔D - Onsite testing
✔✔________ would be the feeling of distress, suffering, and/or discomfort that is
considered a symptom of a condition?
A - Temperature
B - Pain
C - Management
D - Cultural - ✔✔B - Pain
Pain would be the feeling of distress, suffering, and/or discomfort that is considered a
symptom of a condition. In 1968, McCafferty defined pain as "Pain is whatever the
patient that is experiencing the pain says it is."
✔✔Nurse Agnes has just finished assessing her pregnant patient who has been
diagnosed with gestational diabetes in the second half of her pregnancy. What does the
nurse need the patient to do to help dietary and insulin needs?
A - increase her insulin doses
B - increase calorie intake
C - decrease her insulin doses
D - decrease calorie intake - ✔✔B - increase calorie intake
When a pregnant woman increases her caloric intake in the latter half of her pregnancy,
glucose will cross the placenta but the insulin will not. The fetus has a high demand for
glucose and when that is paired with the patient's changing hormones, the result is an
elevated blood glucose level.
, ✔✔During which of the following situations is full barrier precautions likely to be
required?
A - Treating a patient with pneumonia.
B - Treating a patient with chicken pox.
C - Treating a patient who is suspected of having avian flu.
D - Treating a patient with an open wound. - ✔✔C - Treating a patient who is suspected
of having avian flu.
Treating a patient who is suspected of having avian flu CDC guidelines recommend full
barrier precautions for all known and suspected cases of avian flu, due to the high
degree of transmission of the disease. Full barrier precautions are also used in treating
patients with known or suspected cases of SARS and pandemic influenza, as well as
hemorrhagic diseases
✔✔___________ would be considered the nurse's competency that results from
training.
A - Education
B - Language
C - Culture
D - Proficiency - ✔✔D - Proficiency
✔✔The ambulatory care nurse's role would have all except which of the following role
dimensions?
A - Workload
B - Risk management
C - Benefits
D - Leadership - ✔✔C - Benefits
Some of the role dimensions for the ambulatory care nurse would include: Workload,
Risk management, Leadership, Staffing, Competency concerns, Workplace regulatory
compliance
✔✔Which of the following is NOT a nonmedical expense?
A - Linen.
B - Uniform.
C - Office supplies.
D - Hypodermics. - ✔✔D - Hypodermics.
✔✔Of the following, which would not be a predisposing factor that might cause a patient
to develop a tubercle bacillus infection?
A - Cirrhosis
B - Alcoholism
C - Poor nutrition
D - The health care workers that care for low-risk patients - ✔✔D - The health care
workers that care for low-risk patients
SCRIPT COMPLETE QUESTIONS AND ANSWERS
For successful communication, the major criteria would include?
A - Forcefulness
B - Flexibility
C - Evaluation
D - Developmental - ✔✔B - Flexibility
The 4 major criteria for successful communication would include: Feedback,
Appropriateness, Efficiency, Flexibility
✔✔A person's knowledge is sometimes measured by which of the following verbs?
A -Recall
B - List
C - Remember
D - All of the above - ✔✔D - all of the above
Some of the verbs which might be used to measure a person's knowledge could
include: Recall, List, Remember, Identify, State, Define
✔✔A key value in association with "Baby Boomers" would be considered which of the
following?
A - Sacrifice
B - Duty
C -Respect for authority
D - Involvement - ✔✔D - Involvement
There are 3 key values that are associated with "Baby Boomers:" Involvement, Personal
growth, Team
✔✔You are assessing a patient prior to surgery and want to check for her surgical risk
due to alcohol consumption. That patient tells you that her alcohol use varies and she
does not seem willing to discuss how much she drinks. Which of the following is an
appropriate strategy for getting the information you need?
A -Present the patient with graphic images of the internal organs of people who abuse
alcohol.
B -Shame the patient into telling you what you need to know.
C - Refer the patient to a social worker at the hospital.
D - Ask a family member, such as the patient's spouse, about the patient's alcohol use.
- ✔✔D - Ask a family member, such as the patient's spouse, about the patient's alcohol
use.
✔✔Which of the following is NOT a concern when developing health literacy education
for patients?
A - Literacy level.
B - Cultural background.
C - Language.
,D - Gender - ✔✔D - Gender
✔✔When learning in the affective domain, it would involve internalization or
commitment to which of the following?
A - Feelings
B - Interests
C - Cognitive
D - Both A and B - ✔✔D - Both A and B
When a person is learning in the affective domain, it would involve internalization or
commitment to: Feelings, Interests, Attitudes, Beliefs, Values
✔✔Of the following, which would be considered the name for when it would reflect the
chemical structure of a drug?
A - Generic name
B - Common name
C - Trade name
D - Chemical name - ✔✔D - Chemical name
✔✔An older patient presents with swelling in the lower extremities. Which of the
following should be ordered to rule out heart failure?
A - CBC
B - Spirometry study
C - Brain natriuretic peptide test
D - Ketone balances - ✔✔C - Brain natriuretic peptide test (BNP)
The BNP measures levels of protein made by your heart will be higher than normal
since it is produced by your blood vessels in your heart.
✔✔Nurse Grace knows that the most effective way to educate her patient and assist in
her patient care plan is to do what?
A - Insist the patient follow the plan exactly as instructed.
B - Create a schedule for the patient of future office visits and scheduled treatments.
C - Establish a team effort with the patient in the teaching and learning process.
D - Ask the patient to involve family members in her care planning. - ✔✔C - Establish a
team effort with the patient in the teaching and learning process.
✔✔Of the following, which would not be considered an objective symptom for
tuberculosis?
A - Headaches
B - Night sweats
C - Weight loss
D - Fever - ✔✔A - Headaches
Some of the objective symptoms for tuberculosis would be: Night sweats, Weight loss,
Fever, Cough which progresses, Hemoptysis (cough up blood)
✔✔An order is being written for insulin, how should the dosage order be written?
,A - 10 ml subq
B - 10 units subq
C - 10 u subq
D - None of the above - ✔✔B - 10 units subq
U for unit is on The Joint Commission's official " Do Not Use" list of abbreviations.
✔✔Which of the following is NOT a "red flag" of low health literacy in a patient?
A - The patient pours pills into his or her hand to identify them by sight.
B - The patient is not Caucasian.
C - The patient consistently asks you to read healthcare information because he or she
has forgotten eyeglasses at home.
D - The patient does not ask questions during the appointment. - ✔✔B - The patient is
not Caucasian.
It is important to note that you cannot assess a person's health literacy just by looking.
In fact, the majority of people with low health literacy, according to a recent study, are
middle class Caucasians.
✔✔POCT and which of the following terms are often used interchangeably?
A - Diagnosing
B - Referrals
C - Consultations
D - Onsite testing - ✔✔D - Onsite testing
✔✔________ would be the feeling of distress, suffering, and/or discomfort that is
considered a symptom of a condition?
A - Temperature
B - Pain
C - Management
D - Cultural - ✔✔B - Pain
Pain would be the feeling of distress, suffering, and/or discomfort that is considered a
symptom of a condition. In 1968, McCafferty defined pain as "Pain is whatever the
patient that is experiencing the pain says it is."
✔✔Nurse Agnes has just finished assessing her pregnant patient who has been
diagnosed with gestational diabetes in the second half of her pregnancy. What does the
nurse need the patient to do to help dietary and insulin needs?
A - increase her insulin doses
B - increase calorie intake
C - decrease her insulin doses
D - decrease calorie intake - ✔✔B - increase calorie intake
When a pregnant woman increases her caloric intake in the latter half of her pregnancy,
glucose will cross the placenta but the insulin will not. The fetus has a high demand for
glucose and when that is paired with the patient's changing hormones, the result is an
elevated blood glucose level.
, ✔✔During which of the following situations is full barrier precautions likely to be
required?
A - Treating a patient with pneumonia.
B - Treating a patient with chicken pox.
C - Treating a patient who is suspected of having avian flu.
D - Treating a patient with an open wound. - ✔✔C - Treating a patient who is suspected
of having avian flu.
Treating a patient who is suspected of having avian flu CDC guidelines recommend full
barrier precautions for all known and suspected cases of avian flu, due to the high
degree of transmission of the disease. Full barrier precautions are also used in treating
patients with known or suspected cases of SARS and pandemic influenza, as well as
hemorrhagic diseases
✔✔___________ would be considered the nurse's competency that results from
training.
A - Education
B - Language
C - Culture
D - Proficiency - ✔✔D - Proficiency
✔✔The ambulatory care nurse's role would have all except which of the following role
dimensions?
A - Workload
B - Risk management
C - Benefits
D - Leadership - ✔✔C - Benefits
Some of the role dimensions for the ambulatory care nurse would include: Workload,
Risk management, Leadership, Staffing, Competency concerns, Workplace regulatory
compliance
✔✔Which of the following is NOT a nonmedical expense?
A - Linen.
B - Uniform.
C - Office supplies.
D - Hypodermics. - ✔✔D - Hypodermics.
✔✔Of the following, which would not be a predisposing factor that might cause a patient
to develop a tubercle bacillus infection?
A - Cirrhosis
B - Alcoholism
C - Poor nutrition
D - The health care workers that care for low-risk patients - ✔✔D - The health care
workers that care for low-risk patients
